C10032099 / invoice 20000

06/03/2026 Presenting Complaint -  Vaccination/Check up
Other Complaint -  
         Loyalty Reward Program - Y/N
History - 
some noises like ceramic plate on tiles is a bit wary. 
metail clanging. 
is getting a bit more on alert when everyone has gone to bed. less concerned by people going past the house etc. during the day when family is up and about. 

no vomits or loose stools
will pass most things he eats that he shouldnt. 

hiking with him a lot lately. scratching a lot on belly and ear after walking. just the last couple of days. 

         Medicine Hx  -
         Worming Hx  -
         Heartworm    -
         Microchip      -  Y / N     scanned -  ok?

Examination -

unable to examine
 (nervous and o not holding and side yeing if i approach him in the corner)
dispensed  gaba traz to try with oral sedation on board.  | 14/03/2026 Presenting Complaint -  Vaccination/Check up
Other Complaint -  
         Loyalty Reward Program - Y/N
History - has been scratching his ears and flank. 
O cleaned ears out and had lots of sand come out.
         Medicine Hx  - gaba/traz 0900
         Worming Hx  -
         Heartworm    -
         Microchip      -  Y / N     scanned -  ok?

eaars were bothering him - cleaned alot of sand out
few months was at beach every night (not swimming)  .  always sand and dirt.   
itchy flank area 
licks his feet alot.        o claims is just cleaning feet .  

Examination -
         Attitude -   BAR 
         Body Score -  6 /10
         Temperature - not indicated 
         Heart -   HR. Murmur -  none heard 
         RR -   wnl 
         Dental - Score(0-4)=   0  .Comment
         CRT - immediate
         Eyes - NVL
         Ears - appear clean and discharge free.   dog would not tolerate swab. shakes when ears touched so much be irritating.    o attempted with no luck so then taken out back and epiotic instilled (dog tried to snap with R ear) 
         Abd Palpation - Unremarkable
         Gastrointestinal -  No Sig Findings
         Urogenital -  No Sig Findings
         Skin -   L groin an 1cm area of erythemic skin discolouration  with a scab next to from scratching.   
         Musculoskeletal -  No Sig Findings
         Other key findings = 

General Health Assessment - healthy for vacc
Discussed -  brief discussion that normal dog does not lick feet ,  lick feet=  itchy   = likely allergy.   advised if seasonal then likely atopic ,  if all year round then likely food related.    given his behaviour cytopoint unfortunately prob not best option for him  (was ok tho for inject today until end and turned to snap abit)   and thus prob apoquel best.   advised if itchy continues  then revisit for further allergy chat .   if ears still irritating then revisit for full sedation to assess ears  incase FB etc.   advised needs gaba and traz in future vet visits  - doesnt seem to be anxious / on edge at home from what o describing but advised do monitor because if he is then we have tx options to reduce anxiety .  
Plan            -  c5 intrascap sq (triennial c3) 
Prescriptions(on-going) -
Next Visit    -  as required